Failure to Provide Sufficient Nursing Staff for Timely Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the care needs of residents in a timely manner across all three resident halls reviewed. Resident Council notes documented missed showers and delays in getting residents to activities and meal service. Review of Direct Care Staff Daily Reports showed that the facility did not meet state minimum CNA staffing requirements on multiple dates. Residents reported significant delays in call light responses, with some waiting up to an hour for assistance, experiencing late showers, and receiving meals late. Some residents had to leave their rooms to seek help due to the lack of available staff. Staff interviews confirmed ongoing staffing shortages, with CNAs frequently assigned to care for 8-12 residents, making it difficult to complete basic care tasks and respond to call lights promptly. Staff described feeling rushed and unable to provide timely showers or assistance, and agency CNAs corroborated that it was common for residents to wait over 20 minutes for call lights to be answered. The facility administrator acknowledged the staffing concerns and the impact on timely resident assistance.